Individual
MRS. STACIE JANE WORSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3815 S VAL VISTA DRIVE, SUITE 101, GILBERT, AZ 85297-7308
(480) 782-0993
(833) 337-0386
Mailing address
560 E THOMAS RD, PHOENIX, AZ 85012-3204
(860) 678-3402
(844) 364-3181
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN00167067
WA
367A00000X
Advanced Practice Midwife
AP 60205110
WA
367A00000X
Advanced Practice Midwife
AP8923
AZ
367A00000X
Advanced Practice Midwife
Primary
RN201352
AZ
Other
Enumeration date
05/26/2011
Last updated
05/19/2022
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